NPI | 1770143315 |
---|---|
Doing Business As | THE KINGSLEY CLINIC PLLC |
Entity Type | Organization |
Authorized Contact | JAMES RALPH KINGSLEY Chief Executive Officer 530-305-7637 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2019-06-17 |
Last Update Date | 2024-01-31 |